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General NPI Number Information
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NPI Number | 1871455824
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Entity Type | Individual
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Provider Name | SEBASTIAN J SMRECZAK PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/28/2025
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 1 ELLIOT WAY
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City | MANCHESTER
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State | NH
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Zip | 03103-3502
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Country | US
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Telephone | 774-823-0807
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 ELM ST UNIT 38
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City | MANCHESTER
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State | NH
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Zip | 03101-1723
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Country | US
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Telephone | 774-823-0807
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH1002945
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHCY-05512
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License Number State | NH
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